Summary: Assessments

Read the summary and the most important questions on Assessments

• 1 Assessments

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• What are the advantages of an assessment? Why measuring?

  • Client is being informed and involved
    
  • For the healthcare professional it clarifies his own therapeutic actions and helps to evaluate and improve his therapeutic skills
    
  • between colleagues and other healthcare professionals, it improves communication
    
  • health insurance get insight into results and effectiveness of the therapy
    
  • Assessments help with and improve the transparency of clinical reasoning.
    

• Steps to be used when selecting a right assessment

  • Step 1: What do you want to measure?
  • Step 2: With what purpose do you want to measure?
  • Step 3: What kind of assessment do you want to use?
  • Step 4: What is the clinical utility?
  • Step 5: What is the methodological quality? validity, reliability, responsiveness
  • Step 6: Apply the assessment in practice

• 1.1 What do you want to measure?

• What are the 3 elements to consider: what do you want to measure?

  
  

  • The client’s needs are the starting point
  • The level we want to measure -> ICF-framework: at the level of functions, activities or participation. Also, external and internal factors can be taken into account.
  • Target group e.g. diagnosis, age

• 1.2 With what purpose do you want to measure?

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• What are the different purposes of an assessment

  • Descriptive
    
  • Discriminative
  • Evaluative
  • Predictive

• What's a descriptive assessment

  Provides information which describes the person’s current functional status, problems, needs and/or circumstances.
  
  They provide a snapshot of the person’s functioning at one point in time. Descriptive assessments often focus on identifying strenghts and limitations.
  
  ex. Life Habits

• What's a discriminative assessment?

  Distinguish between individuals or groups on an underlying dimension/characteristic.
  
  ex: GDS-30 (geriatric depression scale): a screeningtool to identify depression in elderly. A score of 10 or higher indicates depressed feelings (Joeris, 2012).

• 1.3.1 Data collection: Resources

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• What are theTypes of information resources?

  
  

  • Self-report (by the client himself, direct information resource)
  • Proxy-report (by the environment of the client, indirect information resource)
  • Therapeutic observation or measurement (direct information resource)

• 1.3.2 Data collection: Methods

• What kind of methods of data collection are there?

  • Questionnaire or interview (self- or proxy-report)
  • Observation or measurement
  • The use of existing materials e.g. case file

• 1.3.3 Standardised versus non-standardised assessment

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• What is a standardised assessment

  
  a published measurement tool, designed for a specific purpose in a given population. There are detailed instructions provided on:
  

  • when and how the assessment has to be administered
  • the necessary materials
  • information on the interpretation of the results

  There has been research on the validity and reliability of the   assessment.

• What is a non-standardised assessment?

  self-developed questionnaires or tests that aren’t researched.   There is no standard protocol that has to be followed
    e.g. informal observation, interview, etc